go back

Specialist Consultation For A Hospitalized Patient

Alabama rates for HCPCS 99253

This covers an initial evaluation of a hospitalized patient by a specialist at the request of another treating doctor, seeking advice or a second opinion on the patient's care. It involves a detailed review of the patient's history and a physical exam, along with medical decision-making of low complexity. The requesting doctor remains involved in the patient's care alongside the consulting specialist.

Rates data updated July 2026.

How much does Specialist Consultation For A Hospitalized Patient cost?

$100

Typical physician fee. In Alabama, July 2026.

Insurers have agreed to pay about $100 for this service. Most negotiated rates run $83.18 to $129.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $83 · 10th to 90th $65 to $112Professionalmedian $100 · 10th to 90th $65 to $155
$10$20$50$100$200facility $83professional $100

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$83.18
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$100.00
Typical High
$154.88
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$120.23
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$128.82
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$112.20
Typical High
$234.42

Where Alabama sits

The same service costs 2.2 times more in South Dakota than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Alabama· 50th of 51

$100

SD $209DC $95.50

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.